Inspection on 06/05/05 for Beacholme

This inspection was carried out on 6th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beacholme 07/11/07

Beacholme 22/02/06

Beacholme 25/01/05

Beacholme 05/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Beacholme 35 Derbe Road St Annes Lancashire FY8 1NJ Lead Inspector Lesley Plant Unannounced 06 May 2005 2.00pm The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beacholme Address 35 Derbe Road, St Annes, Lancashire, FY8 1NJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01253 723870 Mr Alexander Collinge-Pearson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 6.1.05 Brief Description of the Service: Beacholme is a small care home for adults with learning disabilities, registered for three people. The house is situated close to the promenade, convenient for a range of local facilities, including St Annes town centre. Nearby there are good transport links. Accomodation is arranged over three floors and is in keeping with the local neighbourhood. Single bedrooms are provided, plus a dining kitchen, lounge and conservatory for communal use. Beacholme provides a stable, family type environment for the two people curently living there. The registered provider does not employ staff at the home but other family members do live there. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, started at 2.00pm and took place over three hours. The inspector spoke to the registered provider and to both people living at the home, who were also supported to complete feedback comment cards. A tour of the premises took place and records were viewed. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 3 Assessments take place prior to moving into the home, ensuring that needs are met. EVIDENCE: At present there are two people living at the home, both of whom are funded by Local Authorities. Social work assessments have been completed for these individuals prior to their move. There have been no new admissions for four years. The two people living at the home both spoke favourably about the care and support provided. This includes help with finances, personal care and health care. Comments included, “ I feel quite happy here and settled.” Records show that specific health needs are recorded and responded to. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 8, 9 and 10 Individuals join in household activities, encouraging a family type atmosphere. Support with risks provides a feeling of security for the people at the home. EVIDENCE: Both people living at the home have a front door key and can come and go as they please, with the registered person providing security and support. Comments from individuals included, “I am happy here, I make my own drinks and go out for my paper” and “ We all do our own thing, I like to see shows, play pitch and put and I can have friends to stay”. Both individuals enjoy getting involved in daily household tasks such as washing up. The registered provider clearly knows the two people very well and is aware of any individual areas of risk such as with managing money and medication. Appropriate support is provided for these areas of daily living. Individuals are aware that records are kept at the home and that information has to be written and stored. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, and 17. People living at the home are actively involved in the community and enjoy a range of leisure activities. The meals are enjoyed and food preferences are taken into account. EVIDENCE: The two people living at the home confirmed that they follow their own individual interests and enjoy going out locally as well as spending time at home. The large bedrooms allow room for hobbies, TV and music. The registered provider also arranges activities such as eating out, shopping and holidays. In the past both people have attended college/ day service activities. At present this does not take place and although the individuals express no interest in these activities, the registered provider should review this from time to time. Set external activities such as these could help to further personal development and independence. The meals are enjoyed and individual preferences taken into account when planning menus. The family type atmosphere means that meal times can be flexible. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Individuals are well cared for and health care needs are met. EVIDENCE: Both people spoken to stated that they are happy with the way their personal care needs are met. For example having the bath run for them, or their hair washed. Good records are kept of health care appointments such as visits to the GP and dentist. The registered provider makes any appointments necessary and goes with individuals to any appointment. One person takes regular medication, which is looked after for him. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 People at the home know that they can raise any concern and that this would be listened to. EVIDENCE: Both people living at the home said that they would speak to the registered provider if they were not happy about anything and both felt that their views were listened to. One individual also said that he could speak to relatives who would act on his behalf. The family type atmosphere lends itself to any issue being sorted out as it crops up. There is also a formal complaints procedure in place. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 25 Beacholme is a comfortable home and the people living there have individual bedrooms which meet their lifestyle needs. EVIDENCE: The building is homely and comfortable, with good furnishings and decoration. There is good access to local facilities such as shops and places of entertainment. The individuals at the home said that they were very happy with the accommodation. The bedrooms are large with plenty of space for clothing, TV, music system and other personal possessions. One person has a pool table in his bedroom. Both people enjoy spending time in their bedroom and are able to have their personal possessions around them. Bedrooms reflect the different personalities of the people at the home. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: None of the above standards were inspected during this visit. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 and 41 Beacholme is well run and the record keeping promotes the best interests of the people living at the home. EVIDENCE: Although other family members live on the premises, the registered provider is the sole support person for people living at the home. The home is run very much as an ordinary family environment and there are no staff employed. Individuals confirmed that they feel safe, happy and very much at home; able to enjoy their own space and activities whilst aware that they live in a secure and supportive home. The atmosphere appears open and inclusive, with good relationships having been developed between the people living at the home and the registered provider. Records viewed included financial and health records. During discussions, the people living at the home showed an awareness that records are kept, the reasons for this and knew that they could view these if they wished. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beacholme Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 x x F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 16 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 11 and 12 Good Practice Recommendations The registered provider should review opportunities for employment, education and promoting independence. Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beacholme F57 F09 S10015 Beacholme V182222 060505 Stage 4.doc Version 1.30 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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